Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $14,454.40	Facility		$1,479.11	$3,235.94	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,235.94	Professional		$1,479.11	$1,737.80	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,019.95 / $8,128.31	Professional		$1,548.82	$3,019.95	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $6,309.57 / $7,079.46	Professional		$2,570.40	$6,309.57	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $6,918.31 / $13,489.63	Facility		$1,698.24	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $4,897.79	Professional		$2,818.38	$3,981.07	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,162.28 / $7,943.28	Facility		$1,698.24	$3,162.28	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $14,454.40	Professional		$1,698.24	$2,754.23	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,137.96	Professional		$32.36	$33.11	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $6,760.83	Professional		$2,187.76	$4,265.80	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $22,908.68 / $22,908.68	Facility		$4,073.80	$22,908.68	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $7,585.78 / $14,454.40	Professional		$2,884.03	$7,585.78	$14,454.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $9,120.11 / $10,964.78	Professional		$4,897.79	$9,120.11	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $6,918.31	Professional		$1,548.82	$2,454.71	$6,918.31